Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAE WILKERSON
Active Sole ProprietorSpecialist/Technologist, Other · CHEYENNE, WY
Registration Details
- NPI Number
- 1508616681
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2024 (2.0773715666634 yrs)
- Last Updated
- Apr 10, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1603 CAPITOL AVE STE 415CHEYENNE, WY, 820014562Browse WY providers · Browse ZIP 82001
- Phone
- 4109995758
- Primary Specialty
-
Specialist/Technologist, Other
246Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.